Practicing Patienthood Online: Social Media, Chronic Illness, and Lay Expertise

The use of digital technologies and social media by people with serious illness to find, share, and create health information is much celebrated but rarely critiqued. Proponents laud “Health 2.0” as transforming health care practice and empowering patients. Critics, however, argue that a discourse o...

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Bibliographic Details
Main Author: Collette Sosnowy
Format: Article
Language:English
Published: MDPI AG 2014-06-01
Series:Societies
Subjects:
Online Access:http://www.mdpi.com/2075-4698/4/2/316
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author Collette Sosnowy
author_facet Collette Sosnowy
author_sort Collette Sosnowy
collection DOAJ
description The use of digital technologies and social media by people with serious illness to find, share, and create health information is much celebrated but rarely critiqued. Proponents laud “Health 2.0” as transforming health care practice and empowering patients. Critics, however, argue that a discourse of developing lay expertise online masks the disciplinary practices of the neoliberal state’s emphasis on individual responsibility. Notably, the perspectives of people who are engaging with social media related to their health and illness are under-represented in this debate. This research examines the experiences and perspectives of women who blog about their lives with Multiple Sclerosis in order to situate them in the context of these conflicting ideologies. Methods consisted of an ethnographic content analysis (N = 40), an online survey (n = 20), and an online discussion forum (n = 9). Findings revealed that blogging is neither inherently empowering nor inevitably disciplinary. Rather, it simultaneously offers opportunities for patients to gain medical knowledge and resist medical patriarchy, as well as compounds expectations placed upon patients to assume greater responsibility for managing their care.
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spelling doaj.art-cf84f5adb2c34260b0a5bf2c46b307bd2022-12-21T19:30:11ZengMDPI AGSocieties2075-46982014-06-014231632910.3390/soc4020316soc4020316Practicing Patienthood Online: Social Media, Chronic Illness, and Lay ExpertiseCollette Sosnowy0The Graduate Center of the City University of New York, 365 Fifth Avenue, New York, NY 10016, USAThe use of digital technologies and social media by people with serious illness to find, share, and create health information is much celebrated but rarely critiqued. Proponents laud “Health 2.0” as transforming health care practice and empowering patients. Critics, however, argue that a discourse of developing lay expertise online masks the disciplinary practices of the neoliberal state’s emphasis on individual responsibility. Notably, the perspectives of people who are engaging with social media related to their health and illness are under-represented in this debate. This research examines the experiences and perspectives of women who blog about their lives with Multiple Sclerosis in order to situate them in the context of these conflicting ideologies. Methods consisted of an ethnographic content analysis (N = 40), an online survey (n = 20), and an online discussion forum (n = 9). Findings revealed that blogging is neither inherently empowering nor inevitably disciplinary. Rather, it simultaneously offers opportunities for patients to gain medical knowledge and resist medical patriarchy, as well as compounds expectations placed upon patients to assume greater responsibility for managing their care.http://www.mdpi.com/2075-4698/4/2/316social mediabloggingMultiple SclerosisHealth 2.0qualitative research
spellingShingle Collette Sosnowy
Practicing Patienthood Online: Social Media, Chronic Illness, and Lay Expertise
Societies
social media
blogging
Multiple Sclerosis
Health 2.0
qualitative research
title Practicing Patienthood Online: Social Media, Chronic Illness, and Lay Expertise
title_full Practicing Patienthood Online: Social Media, Chronic Illness, and Lay Expertise
title_fullStr Practicing Patienthood Online: Social Media, Chronic Illness, and Lay Expertise
title_full_unstemmed Practicing Patienthood Online: Social Media, Chronic Illness, and Lay Expertise
title_short Practicing Patienthood Online: Social Media, Chronic Illness, and Lay Expertise
title_sort practicing patienthood online social media chronic illness and lay expertise
topic social media
blogging
Multiple Sclerosis
Health 2.0
qualitative research
url http://www.mdpi.com/2075-4698/4/2/316
work_keys_str_mv AT collettesosnowy practicingpatienthoodonlinesocialmediachronicillnessandlayexpertise